Anyone have Cutaneous T Cell Lymphoma?

Posted by cindylb @cindylb, Jul 28, 2017

Does anyone in the group have Cutaneous T Cell Lymphoma? I am waiting for an appointment with my oncologist (follow up for breast cancer) and am at possible risk for this cancer. I'd like to hear from anyone who has experienced these symptoms, how they got their diagnosis and what treatments they have or are having. Thank you.

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In mid-2022 I noticed 3-4 small dime to quarter size white patches developing on my thigh. A co-worker immediately advised, "go see a dermatologist". In Nov 2022, a dermatologist looked at my spots. At first it was treated as ring-worm. This was a wrong diagnosis. A biopsy shave was done in Jan 2023 and this revealed mycosis fungiodes CTCL type cancer. We started a chemotherapy by gel (Valchlor) in Feb/March 2023. By April 2023, I had gotten an infection in the wound site (I am a biologist deep in the water last season), so I discontinued the Valchlor after 6 weeks. A few months after leaving Valchlor, more spots appeared (dime size) in new areas on my legs and forearms. Now I am using Targretin as a blood test revealed the CTCL in bloodstream. One month in with the 300mg/day of Targretin. All work done at Scripps in San Diego.

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@norseman44

Can you share the names of the steroid creams that appear to work for you.
Others may appreciate knowing

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I was diagnosed with CTCL in March 2023. We started treating with Valchlor gel (special order/cold storage) and then moved onto Clobetasol 0.05% and I used a at-home UV light daily for 1-2 minutes on the white patches. Now, the CTCL has moved to my blood and am taking 4x75mg Bexarotone (Targretin; a chemo pill) for a total of 300mg a day plus 2 pills to manage hypothyroidism and triglycerides. a long slog so far, with one huge patch (the size of my palm) which Valchlor did a good job at attacking.

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@norseman44

Can you share the names of the steroid creams that appear to work for you.
Others may appreciate knowing

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I am not using any steroids or any other ointment. I use a UV light box three times a week.

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I was treated by radiation on my feet and shoulder. It seemed to control it BUT I was told by my new oncologist that once an area was irradiated it was ineffective to radiate again. I use Clobetasol .05% to spot treat eruptions.

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In reply to @pastororwin580 "Yes since 2015." + (show)
@pastororwin580

Yes since 2015.

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Welcome to Connect @pastororwin580. It looks as though you were diagnosed with CTC in 2015. Would you like to share a little more about your experience? Are you currently being treated for the condition?

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@richsully

I am a 58yr old male that was diagnosed wit CTCL last June. This after many years of treatment of this area and others as I have mild eczema rashes on elbows, arms etc. The CTCL area is on the back of my upper legs (no sun) and would not respond to creams the same as other eczema rashes. Basically the area stayed red-ish/pink and bumpy regardless of treatment. So after many different eczema treatments the area was biopsied and diagnosis confirmed with blood test. I was told I will always have this condition but it should not affect my life generally, no decrease in life span generally. I do wonder if it could later complicate and combine with other cancers if I develop something.

Happily my current treatment is two different steroid ointments (ointments have always worked better for me on eczema than creams), each for two weeks alternating. Also to supplement with 20 minutes of sun a few times a week in the summer (live in NE). The area has improved significantly over the past 10 months by sticking to this treatment program - it is fainter now and hard sometimes to identify where to apply ointments. It never really itched or spread so that isn't wasn't a problem. I'm hopeful that some upcoming sun exposure might further reduce the rash as that helps my eczema each year, dry heat in winter bad, warmer weather colder showers and some sun helps.

I think the rash worsened when I was in my 20's and didn't treat the eczema for many years while in school or existing without real health insurance.

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Can you share the names of the steroid creams that appear to work for you.
Others may appreciate knowing

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@norseman44

Yes, I had a biopsy in 2017 and was diagnosed with Psoriasis. I went through 3 biologic med regimes. Taltz, Tremfya & Skyrizi. None cleared the issue which was primarily hands & feet.
Wasn’t until my WBC started to spiral that the diagnosis became T Cell Lymphoma

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Thank you! This is a recent development but it is everywhere mostly torso upper legs and arms. The itching is very bad and he is to receive his first skyrizi injection today. It was biopsied as psoriasis but from the beginning I’ve thought there may be more to it. We see hematology Monday.

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@kkbgma11

Did you have a biopsy that said Psoriasis? Just curious as my husband is being treated for psoriasis but hematologist is now involved and running tests.

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Yes, I had a biopsy in 2017 and was diagnosed with Psoriasis. I went through 3 biologic med regimes. Taltz, Tremfya & Skyrizi. None cleared the issue which was primarily hands & feet.
Wasn’t until my WBC started to spiral that the diagnosis became T Cell Lymphoma

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Hi. I was never diagnosed with Psoriasis but Eczema. My dermatologist thought that there had been a significant change in a lesion at the back of my leg. When he did the biopsy and after multiple pathologist had looked at the sample I was diagnosed with CTCL. Interestingly if you read through all the postings most people were diagnosed with some type of skin disorder before being diagnosed with CTCL. I now see a a dermatologist and a hem-oncologist. Hope this helps.

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